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General NPI Number Information
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NPI Number | 1841402732
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Entity Type | Organization
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Legal Business Name | TWO HANDS CHIROPRACTIC AND ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 65 E WACKER PL SUITE 300
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City | CHICAGO
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State | IL
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Zip | 60601-7296
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Country | US
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Telephone | 312-634-0740
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Fax | 312-634-0744
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Provider Business Mailing Address
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Address Line | 2556 W CORTLAND ST 2F
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City | CHICAGO
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State | IL
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Zip | 60647-4370
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Country | US
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Telephone | 815-793-2951
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. SHANNA C FRITSCH
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Credential | DC
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Telephone | 312-634-0740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-010678
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License Number State | IL
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